Transcript Medical Leadership - North Western Deanery

Medical Leadership
Competences in action for SAS Doctors
Introductions
Amy Brockbank
Project Manager for Educator Development & Medical leadership,
North Western Deanery
Dr Arokia Sundari Antonysamy
Medical Leadership Trainee
Objectives
• Introduce
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Medical Leadership
National Initiatives
Medical Leadership Competency Framework
North Western Deanery Medical Leadership Programme
Materials available
• Discuss & Consider
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Strategy for implementing Medical Leadership for SAS doctors
Challenges and ideas to overcome barriers to Medical Leadership
Toolkit for SAS Doctors
• Materials
Why ‘Medical Leadership’?
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Built on the concept of Shared Leadership.
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Not restricted to people who hold designated leadership roles
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Leadership which is shown through a shared sense of responsibility for the success of the
organisation and its services.
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Acts of leadership can come from anyone in the organisation, as appropriate, at different
times, and are focused on the achievement of the group rather than of an individual.
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Therefore shared leadership actively supports effective teamwork.
(Medical Leadership Curriculum)
Why do we need to develop Medical Leadership?
History of…
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Low levels of medical engagement in management and leadership
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Tensions between doctors and managers
Acknowledgment that…
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ALL doctors require management and leadership competences to be effective
practitioners; SOME take on service leadership roles
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Leadership is a requirement of all doctors as laid out in the General Medical Council
(GMC) publications Good Medical Practice and Management for Doctors.
Growing evidence of a link between…
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Medical engagement and organisational performance (Ham and Dickinson, 2008).
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Medical engagement and patient safety (Firth-Cozens and Mowbary, 2001).
National Drivers
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The NHS Next Stage Review Report (2008) highlights a commitment to
improving leadership within the NHS
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National Leadership Council aims to champion the transformation of leadership
across the NHS and ensure that world-class leadership talent and development
exists at every level of the system
• Enhancing Engagement in Medical Leadership Project
Enhancing Engagement in Medical
Leadership Project
This UK-wide project aims to promote medical leadership and help create
organisational cultures where doctors seek to be more engaged in management
and leadership of health services and non-medical leaders genuinely seek their
involvement to improve services for patients across the UK.
Key Project Outputs…
Medical Leadership Competency
Framework
The Medical Leadership
Competency Framework (MLCF)
describes the leadership
competencies doctors need in order
to become more actively involved in
the planning, delivery and
transformation of health services
(June 2009 update)
Medical Leadership Curriculum
The Medical Leadership Curriculum
is based on & developed from the
MLCF and details the knowledge,
skills, attitudes and behaviours to be
formally achieved and consolidated
as all doctors progress in their
careers.
(Medical Leadership Curriculum)
Medical Leadership Competency
Framework
To deliver appropriate, safe and effective services, it is essential that any doctor is competent in each domain.
Delivering the service…
Demonstrating Personal Qualities
Demonstrating Personal Qualities
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Developing self Awareness
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Managing yourself
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Continuing personal development
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Acting with integrity
How the MLCF is being used…
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Basis of Medical Leadership Curriculum
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Integrated into Undergraduate and Postgraduate curricula
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Personal Development Planning
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Career Planning
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Appraisal
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Recruitment
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To inform leadership development programmes…
Leadership Development: NHS North West
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Healthier Horizons – 10 year vision for the NHS North West
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Highlights importance of strengthening clinical leadership
NHS North West Leadership Fellows
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June 2009 launch of Pilot
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Initiated after NHS Next Stage Review
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Partnership with the clinical pathway groups
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14 clinical leaders (not all medical)
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12 month secondment – support clinical pathway groups implement Healthier Horizons
North Western Deanery Medical Leadership Pilot Programme
Medical Leadership Programme
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Project started February 2008
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Pilot
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7 Medical Leadership Trainees
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Based on the MLCF
Medical Leadership & Clinical Training
Academic component
Clinical Component
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4 Year Programme
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Integrated into clinical training
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Approximately 50%
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Clinical training can be extended
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Manchester Business School,
University of Birmingham and the
Kings Fund
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Vocational Component
• Orientation placements
• Projects
• Workplace Based Assessments
MSc in Health and Public
Leadership
by a maximum of 2 years
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Work alongside trainees on the
NHS GMTS
Working alongside NHS Graduate Management Trainees
Demonstrating Leadership Competencies
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Knowledge, Skills, Attitude Framework
Example of Suggested Learning tools from the Medical
Leadership Programme Handbook 2008
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Medical Leadership Curriculum
Curriculum Area
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MLP Handbook: Outlines the KSA and
Personal Qualities & Professionalism
includes suggested learning tools
Learning Tools
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Workplace Based Assessments
Myers Briggs Type Inventory
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Many developed; includes
Honey and Mumford Learning Styles Inventory
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Time Management
Reflective practice
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Chairing a Meeting
Transformational Leadership Questionnaire
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Presentation Skills
Urgent and important time management matrix
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Audit Based Discussion
The four principle method to medical ethics
Structured departmental visits to share good practice
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Portfolio
Understanding Adult Learning Principles
Potential Barriers to Medical Leadership
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Time Conflicts
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Negative perceptions of management and leadership in the NHS
…“moving to the dark side”
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Challenges associated with bridging different cultures
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Lack of formal recognition for informal leadership roles
Medical Leadership Trainee
Experience
Key Points
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Core concept: Medical Leadership is for all doctors
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National drives for developing medical leadership
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Next Stage Review
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National Leadership Council
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Enhancing Engagement in Medical Leadership
National projects developing tools to aid the development of medical leadership
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Medical Leadership Competency Framework
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Medical Leadership Curriculum
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These tools are translated into local leadership development programmes
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Learning from specific programmes can be used to help implement Medical
Leadership by all doctors…
Questions…
Group Work
30 minutes to:
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Discuss how you can develop/implement medical leadership and demonstrate
you have completed Medical Leadership initiatives in your workplace;
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Consider potential challenges you might face in completing (1) and how you
may overcome them;
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Discuss what might be helpful in terms of a Medical Leadership toolkit for SAS
doctors.
Discussion
Useful Links
Information on the Enhancing Engagement in Medical Leadership Project:
http://www.institute.nhs.uk/building_capability/enhancing_engagement/enhancing_engagement_in_medical_leadership.html
Medical Leadership Competency Framework:
http://www.institute.nhs.uk/assessment_tool/general/medical_leadership_competency_framework_-_homepage.html
Medical Leadership Curriculum:
http://www.institute.nhs.uk/images/documents/BuildingCapability/Medical_Leadership/Medical%20Leadership%20Curriculum.pdf
Medical Leadership Project Documents & Publications:
http://www.institute.nhs.uk/building_capability/building_leadership_capability/project_documents.html
National Leadership Council:
http://www.nhsconfed.org/OurWork/Policy/Future-of-leadership/Pages/TopLeadersProgramme.aspx
North West Leadership Academy
http://www.nwacademy.nhs.uk/
North Western Deanery Medical Leadership Programme
www.nwpgmd.nhs.uk/medlead/programme.htm
Materials
Medical Leadership Pilot Programme 2008 Handbook:
http://www.nwpgmd.nhs.uk/medlead/docs/MLP%20Handbook%20v7.1%2003%2004%2009.pdf
Time Management Workplace Based Assessment:
http://www.nwpgmd.nhs.uk/medlead/docs/Time%20Management%20Tool%20V2%2005.02.09.pdf
Presentation Skills Workplace Based Assessment:
http://www.nwpgmd.nhs.uk/medlead/docs/Presentation%20Skills%20Assessment%20MLP.pdf
Chairing a Meeting Workplace Based Assessment:
http://www.nwpgmd.nhs.uk/medlead/docs/Chairing%20a%20Meeting.pdf
Audit Based Discussion Workplace Based Assessment:
http://www.nwpgmd.nhs.uk/medlead/docs/Audit%20Based%20Discussion.pdf